Nicole Fall, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115778 Issued in MI

Practice address

3434 M 119 Ste C
Harbor Springs, MI 49740-9373

Phone

(231) 348-9900

Fax

(989) 358-3780

NPI assigned

Jan 21, 2016

Last updated

Jan 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.burr.p1@direct.alcona.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alcona Citizens for Health, Inc.

  dba Alcona Health Centers

  • Federally Qualified Health Center (FQHC)
  • Harrisville, MI
  • NPI 1326055450
  Medicare reassignment Care Compare group NPD
• Alcona Citizens for Health, Inc.

  dba Alcona Health Center Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Alpena, MI
  • NPI 1750159158
  NPD
• Alcona Citizens for Health, Inc.

  dba Community Health Center of Northern Michigan

  • Federally Qualified Health Center (FQHC)
  • Harbor Springs, MI
  • NPI 1891926739
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1881051845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 STATE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702785",
            "telephone_number": "231-881-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 M 119 STE C",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409373",
            "telephone_number": "231-348-9900",
            "fax_number": "989-358-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALL",
        "first_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.burr.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3434 M 119 Ste C",
            "city": "Harbor Springs",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497409373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Ronae Eimers, AU.D.
• Michael Elcoate
• Emmet County Medical Care Facility (bay bluffs)
• Emmet County Medical Care Facility
• Emmet County Medical Care Facility
• Nina Fearon, RDN
• Renee Irene-Francis Foreman, LPTA
• Good Hart Investments
• Ashley Sue Granger, LMSW
• Luke Frederick Gray, PA-C

• Clinical Social Worker in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.